Common Contracts
1 similar Edi Enrollment Agreement contracts
Part A/Part B/HHH EDI Enrollment (Agreement) Form and InstructionsEdi Enrollment Agreement • January 24th, 2018
The EDI Enrollment Form (commonly referred to as the EDI Agreement) should be submitted when enrolling for electronic billing. It should be reviewed and signed only by the providers to ensure each provider is knowledgeable of the enrollment request and the associated requirements.
